Etat Dame Psychological Services

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

ETAT DAME PSYCHOLOGICAL SERVICES

Practice address

4332 22ND St Ste 203
Long Island City, NY 11101-5077

Phone

(929) 738-1592

NPI assigned

Oct 23, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jihee Cho, PHDNPI 1013497205

Title

Co-Founder

Phone

(929) 738-1592

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jihee Cho, PHD

  • Psychologist
  • Long Island City, NY
  • NPI 1013497205
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1306667142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4332 22ND ST STE 203",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015077",
            "telephone_number": "929-738-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4332 22ND ST STE 203",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015077",
            "telephone_number": "929-738-1592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Pine West Plz Ste 109",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122055531",
            "country_code": "US",
            "telephone_number": "929-738-1592",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1143 47th Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Long Island City",
            "state": "NY",
            "postal_code": "111015465",
            "country_code": "US",
            "telephone_number": "646-450-2475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ETAT DAME PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "JIHEE",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "929-738-1592",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tashia Esson
• Alice Essuman
• Melanie Lucia Esterine
• Grisel Estrada, LMSW
• Roberto Estrella
• Etihad Consulting Inc.
• Eun Young Cho, DMD, PLLC
• Richard Franklin Evans, PHYSICAL THERAPIST
• Eye World Optical BTC
• Ez Done Services Corp

• Adult Mental Health Clinic/Center in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Adult Mental Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.